{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:25:53Z","timestamp":1762507553464,"version":"3.37.3"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY BACKGROUND Hip fractures may be the greatest complication secondary to osteoporotic disorder. The objective of this study was to determine the influence of age distribution in the functionality, comorbidity, complications and surgical features of older adults with hip fractures. METHODS A prospective cohort study was carried out from 2013 to 2014. A sample of 557 adults over 75 years old with osteoporotic hip fractures was recruited from the Orthogeriatric Unit of the Le\u00f3n University Hospital (Spain). Age distributions of 75\u201384, 85\u201390 and &gt;90 years old were considered. Firstly, sociodemographic data, fracture type and hospital staying days were collected. Secondly, baseline functionality (Barthel index), ambulation, cognitive impairment and comorbidities were described. Thirdly, surgical intervention, urgency, type, American Association of Anesthesiologists (ASA) scores, non-surgical cause, and baseline pharmacologic treatments were determined. Finally, complications and features at hospital discharge were observed. RESULTS The age ranges did not show any statistically-significant differences (P&lt;.05; R2=.000\u2013.005) for gender, fracture type, or number of hospital staying days. Statistically-significant differences (P&lt;.05; R2=.011\u2013.247) between age groups were observed for Barthel index, cognitive impairment, dementia, osteoporosis, Parkinson\u2019s disease, aortic stenosis, surgery type, ASA\u2013score, non-surgical cause, benzodiazepines, antidementia, anti-osteoporosis, insulin, pharmacologic treatments, renal function alteration, heart failure, destination and ambulation features. All other measurements did not show statistically-significant differences (P&gt;.05; R2=.000\u2013.010). CONCLUSION Age distributions greater than 75 years old may determine the functionality, comorbidities, surgical features, baseline pharmacologic treatments, complications and features at hospital discharge for older adults who suffer a hip fracture.<\/jats:p>","DOI":"10.1590\/1806-9282.64.05.420","type":"journal-article","created":{"date-parts":[[2018,10,6]],"date-time":"2018-10-06T19:06:30Z","timestamp":1538852790000},"page":"420-427","source":"Crossref","is-referenced-by-count":15,"title":["Functionality, comorbidity, complication &amp; surgery of hip fracture in older adults by age distribution"],"prefix":"10.1590","volume":"64","author":[{"given":"Sonia","family":"Jim\u00e9nez-Mola","sequence":"first","affiliation":[{"name":"Complejo Asistencial Universitario de Le\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6569-1311","authenticated-orcid":false,"given":"C\u00e9sar","family":"Calvo-Lobo","sequence":"additional","affiliation":[{"name":"University of Le\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Idoate-Gil","sequence":"additional","affiliation":[{"name":"Complejo Asistencial Universitario de Le\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Seco-Calvo","sequence":"additional","affiliation":[{"name":"University of Le\u00f3n, Spain; University of the Basque Country, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,5]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1080\/13697137.2017.1282452","article-title":"Age-related prevalence of osteoporosis and fragility fractures: real-world data from an Austrian Menopause and Osteoporosis Clinic","volume":"20","author":"Boschitsch EP","year":"2017","journal-title":"Climacteric"},{"issue":"2","key":"ref2","first-page":"324","article-title":"Secular trend in the incidence of hip fracture in Catalonia, Spain, 2003\u20132014","volume":"46","author":"Pueyo-S\u00e1nchez MJ","year":"2016","journal-title":"Age Ageing"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.maturitas.2016.12.009","article-title":"Gender differences in the incidence of and risk factors for hip fracture: a 16-year longitudinal study in a Southern European population","volume":"97","author":"Lobo E","year":"2017","journal-title":"Maturitas"},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1007\/s00198-017-3926-2","article-title":"Effect of comorbidities on the association between age and hospital mortality after fall-related hip fracture in elderly 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Nippon Med Sch"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0146336","article-title":"Meta-analysis of a complex network of non-pharmacological interventions: the example of femoral neck fracture","volume":"11","author":"Mosseri J","year":"2016","journal-title":"PLoS One"},{"issue":"3","key":"ref9","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/j.1445-5994.2000.tb00833.x","article-title":"Hip fracture outcomes: quality of life and functional status in older adults living in the community","volume":"30","author":"Hall SE","year":"2000","journal-title":"Aust N Z J Med"},{"issue":"12","key":"ref10","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1016\/j.ijsu.2014.07.014","article-title":"Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration","volume":"12","author":"Vandenbroucke JP","year":"2014","journal-title":"Int J 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